| Dasilva Physical Medicine, Pllc | |
|
363 W Main St Lewisville TX 75057-3867 | |
| (972) 436-4434 | |
| Not Available |
| Full Name | Dasilva Physical Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 363 W Main St, Lewisville, Texas |
| Authorized Official Name and Position | Omid Ghalambor (PARTNER) |
| Authorized Official Contact | 7734254468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dasilva Physical Medicine, Pllc 14908 Devonshire Ln Frisco TX 75035-0648 Ph: (773) 425-4468 | Dasilva Physical Medicine, Pllc 363 W Main St Lewisville TX 75057-3867 Ph: (972) 436-4434 |
| NPI Number | 1194216291 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194216291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
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